Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.71 / $28.16 / $37.03	Facility	26	$24.71	$28.16	$37.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.64 / $118.21 / $148.99	Professional		$81.64	$118.21	$148.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.41 / $25.14 / $33.63	Professional	26	$22.41	$25.14	$33.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.93 / $93.51 / $117.13	Professional	TC	$73.93	$93.51	$117.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.21 / $93.21 / $93.21	Professional		$93.21	$93.21	$93.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.38 / $29.76 / $29.76	Professional	26	$25.38	$29.76	$29.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $107.94 / $172.70	Professional		$97.26	$107.94	$172.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.08 / $35.10 / $49.60	Professional	26	$28.08	$35.10	$49.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.55 / $72.84 / $116.54	Professional	TC	$69.55	$72.84	$116.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $99.03 / $157.29	Professional		$26.35	$99.03	$157.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.37 / $30.37 / $30.37	Facility	26	$30.37	$30.37	$30.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $142.34 / $249.54	Professional		$105.27	$142.34	$249.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.11 / $35.31 / $56.94	Professional	26	$25.11	$35.31	$56.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.58 / $104.85 / $200.00	Professional	TC	$76.58	$104.85	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $118.00 / $203.50	Professional		$97.00	$118.00	$203.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.15 / $29.48 / $49.54	Professional	26	$25.15	$29.48	$49.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.43 / $94.09 / $150.69	Professional	TC	$72.43	$94.09	$150.69